Hi, I am a 53 year old (as of today) once active woman who was diagnosed with DCM three months ago. AI have been taking low doses of metropolol, lisinopril, spiranolactone, and fish oil as well as warfarin since I had a stroke two weeks after diagnosis. After three months my ef dropped from 27 to 20. What has anyone else done when the meds don't seem to work? I don't have an electrical problem so I am not a candidate for a biventricular pacemaker. Medicine seems to be my only option.